Chest tubes or pleural drains are inserted into the pleural space for the purposes of draining air or fluid. Historically, the choice of chest tube diameter was based on concerns of fluid viscosity or generation of adequate airflow—where large bore chest tubes (320 French (F) were used for complex pleural space infections, hemothorax, and large air leak pneumothoraces. Newer data in the last 15–20 years have minimized the indications for large bore chest tube. However, understanding the indications and their various insertion methods remains a valuable skill for the interventional pulmonologist.

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Large Bore Chest Tubes

  • Bradley W. Petkovich,
  • Michael Klopp,
  • Nicholas J. Pastis

摘要

Chest tubes or pleural drains are inserted into the pleural space for the purposes of draining air or fluid. Historically, the choice of chest tube diameter was based on concerns of fluid viscosity or generation of adequate airflow—where large bore chest tubes (320 French (F) were used for complex pleural space infections, hemothorax, and large air leak pneumothoraces. Newer data in the last 15–20 years have minimized the indications for large bore chest tube. However, understanding the indications and their various insertion methods remains a valuable skill for the interventional pulmonologist.